Dr Michael George Dominov, DDS is a
Dentist - General Practice based in Lee, Massachusetts. Dr Michael George Dominov is licensed to practice in Massachusetts (license number 16758) and his current practice location is
17 Franklin St, Lee, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(413) 243-0098.
NPI number for Dr Michael George Dominov is 1619074267 and his current mailing address is 17 Franklin St, Lee, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619074267.
Healthcare Provider's Profile
Full Name | Dr Michael George Dominov |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 17 Franklin St, Lee, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619074267
- Provider Enumeration Date: 09/17/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Michael George Dominov such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619074267 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 16758 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael George Dominov is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Michael George Dominov, DDS 17 Franklin St, Lee, MA 01238-1629 Ph: (413) 243-0098 | Dr Michael George Dominov, DDS 17 Franklin St, Lee, MA 01238-1629 Ph: (413) 243-0098 |
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